Introduction
Cancer represents a steadily increasing share of the non-communicable disease (NCDs) burden in Saudi Arabia, driven largely by four modifiable and preventable risk factors: obesity, tobacco use, physical inactivity, and unhealthy dietary patterns.1-3 Over the past decade the Kingdom has introduced a series of national policies ranging from tobacco taxation and smoke-free regulations to sugar-sweetened beverage taxation, nutrition labeling, school food standards, and cross-sectoral physical activity initiatives.4-6 These reforms are reshaping the behavioral and environmental determinants of health. Yet, the full potential of these policies has not been realized as fragmented implementation and gaps in intersectoral governance limit their impact on cancer incidence and mortality. Strengthening policy coherence and translating prevention evidence into routine system practice is essential to reduce the long-term cancer burden. KSA has adopted comprehensive policies, yet implementation gaps remain The aim is to explore KSA policy landscape addressing cancer prevention.
 
Methodology
A policy and systems analysis framework were applied to synthesize national strategies and regulatory measures addressing key cancer-related risk factors by using a mixed-methods policy analysis to identify gaps in NCDs policies related to cancer prevention in KSA. Data were collected from national health policy documents, peer-reviewed literature, and secondary data on NCDs and cancer
 
Results
The policy analysis indicates that KSA prevention policies (more than 28) provide a solid basis for reducing exposure to cancer-related risk factors. Initiatives addressing obesity and dietary risks including food environment regulation, healthy food provision standards. Comprehensive tobacco legislation remains aligned with international best practice. Physical activity policies delivered through urban design, education, and community sports are broadening opportunities for active living . Embedding risk stratification, early detection, and follow-up within routine primary care strengthens continuity of care and reinforces prevention linked to obesity, tobacco use, diet, and physical activity. 
Conclusion
The findings confirm that Saudi Arabia’s transition from policy development to implementation in NCD and cancer prevention requires a more integrated and accountable system to achieve measurable population impact. As demonstrated through the policy mapping and analytical framework in the methodology, the effectiveness of obesity, tobacco, dietary, and physical activity policies rely on consistent enforcement, structured evaluation, and coordinated multisectoral governance. The results further highlight that embedding risk?factor management and evidence-based cancer screening within primary healthcare supported by insurance coverage for all guideline-eligible individuals is the critical mechanism for translating prevention policies into earlier diagnosis, reduced cancer incidence, and improved outcomes. By aligning risk-factor policy action with population-based early detection and equitable access, the Kingdom can accelerate progress toward a prevention and meaningfully advance national health goals under Vision 2030.

list of policies